This site is intended for healthcare professionals

Go to /sign-in page

You can view 5 more pages before signing in

Composition

Authoring team

Bile is an isotonic fluid despite the presence of high concentrations of individual ions. This is because the micelles formed within bile act to bind ions and decrease their osmotic activity.

On average, bile is composed of:

  • water; at least 90% per volume
  • bile salts; 20-30mmol/l concentration
  • bile pigments:
    • 0.2-1 mmol/l
    • by concentration, bilirubin diglucuronide >> monoglucuronide >> stercobilinogen
  • electrolytes:
    • sodium 140-165mmol/l
    • potassium 3-6mmol/l
    • chloride 80-115mmol/l
    • bicarbonate 10-60mmol/l
  • cholesterol; less than 3mmol/l
  • phospholipids; 5-6mmol/l
  • enzymes:
    • alkaline phosphatase
    • lactic dehydrogenase
  • proteins:
    • plasma proteins
    • class A apoproteins
    • IgA
  • conjugated drugs for excretion
  • conjugated hormones for excretion
  • heavy metals e.g. copper

With passage through the biliary tree and gallbladder, water and bicarbonate ions are reabsorbed. Despite bicarbonate reabsorption, the pH of bile on entering the duodenum is on average greater than 7.6. This facilitates neutralization of gastric acidity.


Create an account to add page annotations

Annotations allow you to add information to this page that would be handy to have on hand during a consultation. E.g. a website or number. This information will always show when you visit this page.

The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

Connect

Copyright 2024 Oxbridge Solutions Limited, a subsidiary of OmniaMed Communications Limited. All rights reserved. Any distribution or duplication of the information contained herein is strictly prohibited. Oxbridge Solutions receives funding from advertising but maintains editorial independence.